Ear pulling does not induce otolithiasis. Otoliths are found in the oval capsule of the inner ear and are able to maintain the body’s balance, which cannot be touched by pulling out the ear, therefore, pulling out the ear will not induce otolithiasis. Otolithiasis is associated with inflammation, lesions, trauma, vibration, etc. It is also associated with insufficient blood supply to the inner ear due to arteriosclerosis, hypertension, diabetes, etc. The dislodgment of otoliths causes the lymphatic fluid to vibrate, which can cause the patient to experience vertigo. Otolithiasis can be treated by resetting the otolith, but if after resetting treatment, there are still symptoms of dizziness, unsteady walking and other discomforts, then it is necessary to take medication such as betahistine mesylate tablets according to the doctor’s instructions for treatment. If otolithosis is persistent and lasts for more than 3-6 months, surgery can be performed. It should be noted that the same disease, the patient’s physical condition is different, different stages of the disease, the treatment method is different, so it should be standardized treatment under the guidance of the doctor, and follow the doctor’s instructions to use drugs.